Simple percutaneous coronary interventions using the modification of complex coronary lesion with excimer laser

Cardiovasc Revasc Med. 2019 Apr;20(4):293-302. doi: 10.1016/j.carrev.2018.10.022. Epub 2018 Oct 26.

Abstract

Excimer laser coronary atherectomy (ELCA), a unique percutaneous coronary intervention (PCI) device, comprises a monorail-type system and is compatible with any standard 0.014-inch guidewire. ELCA is the only device that vaporizes the atherosclerotic plaques or modifies underlying plaque located underneath to a hard tissue, such as severe calcification or a stent. Therefore, ELCA differs from other coronary atherectomy devices and is useful for patients with acute coronary syndrome, chronic total occlusion or under-expanded stents. This case series reports on patients treated using ELCA to simplify complex PCI procedures. Furthermore, we review and discuss ELCA in several situations.

Keywords: Debulking device; Excimer laser coronary atherectomy; Percutaneous coronary intervention; Plaque modification.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Coronary Syndrome / diagnostic imaging
  • Acute Coronary Syndrome / therapy*
  • Aged
  • Angioplasty, Balloon, Coronary* / instrumentation
  • Atherectomy, Coronary / instrumentation*
  • Chronic Disease
  • Coronary Artery Disease / diagnostic imaging
  • Coronary Artery Disease / therapy*
  • Coronary Occlusion / diagnostic imaging
  • Coronary Occlusion / therapy*
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy*
  • Female
  • Humans
  • Lasers, Excimer / therapeutic use*
  • Male
  • Stents
  • Treatment Outcome